NPI | 1043628191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 85920) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 85920) |
101YM0800X Counselor, Mental Health (Licence: CA 62070) | |
Enumeration Date | 2014-07-31 |
Last Update Date | 2018-10-26 |